重症护理护士对肠道食不耐症的评估:一项全国调查
Dimensions of critical care nursing : DCCN
|January 24, 2025
概括
肠道食不耐症 (EFI) 评估在重症监护护士中缺乏标准化. 这项研究强调需要改善教育和研究,以开发最佳实践,以确定机械通风患者这种常见的并发症.
科学领域:
- 临界护理护理重症监护护理
- 胃肠病学 胃肠病学
- 患者的安全性 患者安全性
背景情况:
- 肠道食不耐受 (EFI) 影响了超过三分之一的机械呼吸患者.
- 目前EFI的评估标准往往是主观的,导致误诊.
- 护士可能缺乏对适当的EFI评估方法的认识或理解.
研究的目的:
- 描述目前在重症监护护护士中评估肠道食不耐症 (EFI) 的做法.
- 为了确定护士使用的EFI评估方法的变化.
主要方法:
- 在2022年美国重症护理护士协会全国教学研究所会议上,对344名重症护理护士进行了全国性调查.
- 护士们完成了一项19项调查,详细介绍了他们评估EFI的做法.
- 参与者的经验,教育和认证也被记录下来.
主要成果:
- 84%的护士评估EFI,恶心和吐是最常见的标准.
- 81%的受访者经常或有时测量胃残留体积.
- 在报告的EFI评估实践中观察到显著的变化.
结论:
- 目前对肠道食不耐症 (EFI) 的评估在重症监护护士中没有标准化.
- 显然需要加强关于EFI认可和管理的教育.
- 这些发现将指导未来的研究,以建立基于证据的EFI评估方法.
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